El Paso Infectious Diseases, PA

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

M8004 Issued in TX

Legal business name

EL PASO INFECTIOUS DISEASES, PA

Practice address

1250 E Cliff Dr Ste 5F
El Paso, TX 79902-4850

Phone

(915) 400-2600

Fax

(915) 591-9215

NPI assigned

Jan 14, 2014

Last updated

Sep 17, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jacquelyn Ann Gouveia, D.O.

Title

Physician - Owner

Phone

(915) 400-2600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7885/brand/1/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568678400000",
    "number": "1437571114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 E CLIFF DR STE 5F",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024850",
            "telephone_number": "915-400-2600",
            "fax_number": "915-249-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E CLIFF DR STE 5F",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024850",
            "telephone_number": "915-400-2600",
            "fax_number": "915-591-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL PASO INFECTIOUS DISEASES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-14",
        "last_updated": "2019-09-17",
        "status": "A",
        "authorized_official_last_name": "GOUVEIA",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PHYSICIAN - OWNER",
        "authorized_official_telephone_number": "915-400-2600",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "M8004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX MEDICAL LICENSE",
            "identifier": "M8004",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• El Paso Hyperbaric Center, Inc.
• El Paso III Enterprises, L.L.C. (Mountain View Health & Rehabilitation)
• El Paso Imaging Consultants PA
• El Paso Imaging Consultants PLLC
• El Paso Independent School District
• El Paso Institute of Eye Surgery
• El Paso Institute of Eye Surgery Inc
• El Paso Integrated Physicians Group
• El Paso Integrated Physicians Group
• El Paso Integrated Physicians Group

• Infectious Disease Physician in El Paso, TX
• Providers in El Paso, TX by specialty
• Infectious Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.